SGN2001-00055 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00055
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/28/2001
EXPIRATION DATE:
BUSINESS NAME: TIMBERMILL SIGN PARCEL: 1S135AD-01501
SIGN LOCATION: 10875 SW 89TH AVE
APPLICANT/AGENT: SCOTT HENLEY ZONE: R-4.5
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'6"X 5"
TOTAL SIGN AREA: sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of(2)4'6"x 5"wall sign.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: Y
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subject t&tnn
ontained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. ne in ac o ance with approved plans. A sign permit shall expire 90
days from approval date. A expir 30 days from approval date. A balloon sign shall expire 10
riavc fmm nnnmval(IMP
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APPROVED B
PERMITTEE SIGNATURE:
DATE: 3/28/2001
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223(503) 639-4171 FAX.- (503) 684-7297
GENERAL INFORMATION
Name of Development/Project
Site
Address/ Street Address g c
Location
Suite/Bldg.# City/State Zip
Act 9. .
Name [^�
Property I At o� �!1 J 1S
Owner Mailing A dress Suite
City/State Zip Phone
Tenantor Name
Business
x�
Name
Sign ��Otr Qom\
Contractor Mailing Address Sui
(Prior permit 111'A0
issuancc e,a J l/'
copy of all City/State zip Phone
licenses are ' J av✓ REQUIRED SUBMITTAL ELEMENTS
required if ( o/ICI91")vt - ZZ 6 (Note: applications will not be accepted
expired in the Oreg6n Const.Cont.Board Exp.Date without the required submittal elements)
City of Tigard's License# / , O I d
database) C ompleted Application Form
Proposed Permanent E] Freestanding E] Freeway V Copies of Site/Plot Plan, Drawn to Scale
Sign ❑ Temporary ❑ Electronic (3 copies,if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 81/2"x 11",or 11"x 17"
apply)
YNew sign? ❑ Alter to existing sign? copies of elevations, drawn to scale
Sign Dimensions:
(3 copies,if a building permit is required)
'9i ►� "
size requirement: 81h"x 11",to 24"x 36"
Total Sign Area (sq.ft.): �J $50.00 Fee (Permanent sign, any size)
Sign Data ,
Total Wall Area (sq. ft.) E] $15.00 Fee (Temporary sign, any type)
�6 S Fr.
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW ♦ Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: ♦ Wall signs do not require site/plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No building permit.
• If work authorized under a sign permit has not
Type: 0 Internal External
been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this
the issuance of the permit, THE PERMIT WILL
location, including wall signs that overs a tenant space?
BECOME NULL AND VOID.
E] Yes No
If"yes",a list or diagram of all sign dimensions and DOVER FOR SIGNATURES)
square footage must also be submitted.
I hereby acknowledge that I have read this application, that the information given is
correct, that I am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this day of . 20
Ila
ure of Owner/Agent
Contact Person Name Phone No.
Receipt #: 27200100000000001294
.... Date: 03/28/2001
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00055Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check TIMBERMILL STORAGE BARNS 0 1020 $50.00
TOTAL AMOUNT PAID: $50.00
TIMBERMILL STORAGE BARNS 1s-7076/ 16
5
1se�o��1s 1020
19401 S RIDGE RD., (800) 829-BARN
OREGON CITY, OR 97045 3 G
DATE
PAY TO THE $
ORDER OF J(j
a
--A
DOLLARS:. t �„
IWgton Mutual
Washington Mutual Bank
Oregon OXY Hditop Financial Canter
1839 Mdelk Avenue i-900.758.8000
Oregon tatty,OR 97045 24 tour Cura r Swiss -
NOTES MP
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